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Q4 Medicine

Revista mexicana de urologia Pub Date : 2016-01-01 DOI:10.1016/j.uromx.2015.11.003

F. Delgado-Guerrero , L.M. Covarrubias-Méndez , A. González-Gómez , J. Bernal-Hernández , J. Torres-Aguilar , R. Arellano-Cuadros

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引用次数: 1

摘要

到目前为止，经尿道前列腺切除术已被公认为前列腺生长的标准手术治疗方法。2002年，Mariano Mirandolino医生在巴西发表了一个关于腹腔镜前列腺腺瘤切除术(LPA)的轶事病例，首次报道了腹腔镜前列腺腺瘤切除术。从那时起，已经发表了19项研究报告了这种腹腔镜技术的经验。2010年年中，我们的医院开始了这项手术。目的本研究的目的是描述我院LPA的经验，以及接受该手术的患者的特点。材料与方法本研究纳入2010年至2014年12月期间接受LPA的患者。记录术前特征、术中发现和术后结果。结果共纳入58例患者。中位年龄为66岁(范围:46至85岁)。12例患者表现为慢性退行性疾病。平均手术时间148.6 min, 90 ~ 240 min，平均出血量228.56 ml，中位400 ml。摘除腺瘤平均重量118±34 g。术后平均住院时间为2.7天，经尿道Foley导尿管时间为7.79天，Retzius空间Penrose引流时间为6.4天。门诊随访平均4.2个月，术后1个月进行IPSS问卷调查，平均改善15分(P <措施)。关于术后并发症(9%)，急性尿潴留由于膀胱血块出现在手术后的第二天。结论经尿道前列腺电切术是经尿道前列腺电切术的替代术式，功能效果好，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Experiencia de adenomectomía prostática laparoscópica

Background

Up to the present, transurethral resection of the prostate has been recognized as the standard surgical treatment for prostatic growth. The first report of a laparoscopic procedure for the management of prostatic growth was in 2002, when Dr. Mariano Mirandolino published an anecdotal case of laparoscopic prostatic adenomectomy (LPA) in Brazil. Since then 19 studies have been published reporting on the experience with this laparoscopic technique. The procedure was begun at our hospital in mid-2010.

Aim

The aim of the present study was to describe the experience with LPA at our hospital, along with the characteristics of the patients that underwent the procedure.

Material and methods

Patients that underwent LPA within the time frame of 2010 to December 2014 were included in the study. Preoperative characteristics, intraoperative findings, and postoperative results were documented.

Results

A total of 58 patients were included. The median age was 66 years (range: 46 to 85 years). Twelve patients presented with chronic degenerative diseases. Mean surgery duration was 148.6 min with a range of 90 to 240 min, and mean blood loss was 228.56 ml, with a median of 400 ml. The mean weight of the extracted adenomas was 118 ± 34 g. The postoperative means were: hospital stay, 2.7 days, time with a transurethral Foley catheter, 7.79 days, and time with a Penrose drain in the space of Retzius, 6.4 days. Follow-up was carried out in outpatient consultation for a mean 4.2 months, and IPSS questionnaires were applied one month after surgery, showing a mean improvement of 15 points (P < .001). In relation to postoperative complications (9%), acute urinary retention due to bladder clots presented the day after the procedure.

Conclusions

LPA is an alternative procedure to transurethral resection of the prostate that shows good functional results and a low complication rate.

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.